Chapter 25. Bobby Napier: A 68-Year-Old Caucasian Appalachian Man with Type 2 Diabetes

  1. Lisa Hark PhD, RD Consultant4 and
  2. Horace DeLisser MD Associate Professor Assistant Dean5
  1. Elizabeth Lee-Rey MD, MPH Assistant Professor1,
  2. Sonia Crandall PhD, MS Professor2 and
  3. Thomas A. Arcury PhD Professor Research Director3

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch25

Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals

Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals

How to Cite

Lee-Rey, E., Crandall, S. and Arcury, T. A. (2009) Bobby Napier: A 68-Year-Old Caucasian Appalachian Man with Type 2 Diabetes, in Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals (eds L. Hark and H. DeLisser), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444311686.ch25

Editor Information

  1. 4

    Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA

  2. 5

    Cultural Competency and Spirituality, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

Author Information

  1. 1

    Hispanic Center of Excellence, Albert Einstein College of Medicine, Bronx, New York, NY, USA

  2. 2

    Wake Forest University School of Medicine, Winston-Salem, NC, USA

  3. 3

    Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA

Publication History

  1. Published Online: 27 APR 2009
  2. Published Print: 10 APR 2009

ISBN Information

Print ISBN: 9781405180726

Online ISBN: 9781444311686

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Keywords:

  • Caucasian Appalachian man with type 2 diabetes;
  • similarities in health care experiences of patients from rural communities and inner-city settings;
  • taking medications, monitoring glucose, quit smoking, change in diet;
  • pervasive lack of knowledge and high costs - hampering preventive health behaviors;
  • urban vs. rural health care challenges;
  • health care policy - focus on heightening awareness care, self-management of diabetes;
  • treatment options, and education programs

Summary

This chapter contains sections titled:

  • How might the attitude that Dr. Cox expressed to Mr. Napier affect his care?

  • What are some of the factors that need to be considered when prescribing treatment for patients who are poor?

  • What would be an appropriate response from the attending to Dr. Cox's statements about Mr. Napier?

  • What additional information would have been helpful to Dr. Cox in developing a treatment plan?

  • How might the social information obtained above be used to promote adherence to his diabetes treatments?

  • What are some of the things that could be done to increase the likelihood that Mr. Napier's diabetes will be controlled in the future?

  • What role, if any, could the minister and elders play in Mr. Napier's care?

  • What resources may be available to rural communities to help patients control their diabetes and overcome many of the barriers that exist?

  • References